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Wiki burn cpt coding help

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mocbilling

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I have a patient that was seen by our Dr. for a burn caused by Dermatology appointment for hair removal on both legs. I have submitted claim using X19.XXXA also T24.1201A and T24.102A . Gateway is denying saying can not be primary DX code. This is way we saw this patient. Not sure what to use? Pam
 
Are you billing with the X19.XXXA as the primary diagnosis code? If so, this would be the issue as this a cause/event code. It would be coded after the identification of the actual injury which would be the burns.
 
Cpt code for burn debridement?

DX: Second degree burn of back (T21.24XA)

PX: Wound debrided and bandaged in clinic. Change bandage daily and keep skin clean and dry. Tetanus shot provided. Take oral antibiotics as directed. Return 2 days for recheck, but infection precautions and seek more immediate attention if symptoms worsen or change.

The wound was located on the (central low back).
Wound Exam:
The site was prepped with Betadine and cleansed.
Anesthesia: a topical anesthetic was used using sterile scissors bullae popped and necrotic skin removed
Closure:
Dressing: a sterile dressing was placed.
Patient Status:. the patient tolerated the procedure well.
Complications:. there were no complications.
 
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